Nursing Elites

1. A patient is admitted to the emergency room and is found to have proteinuria, a low serum albumin level, edema, and elevated blood lipids. Which condition do these symptoms typically associate with?

• A. Nephrotic syndrome
• B. Acute kidney injury
• C. Rejection of a kidney transplant
• D. Renal colic

Correct answer: A

Rationale: The correct answer is A: Nephrotic syndrome. Nephrotic syndrome is characterized by proteinuria (excess protein in urine), hypoalbuminemia (low serum albumin), edema (swelling due to fluid buildup), and hyperlipidemia (elevated blood lipids). These symptoms occur as a result of damage to the kidneys' filtering units. Acute kidney injury, rejection of a kidney transplant, and renal colic do not present with the same combination of symptoms as nephrotic syndrome. Acute kidney injury typically presents with a sudden decrease in kidney function, resulting in a build-up of waste products in the blood. Rejection of a kidney transplant may present with fever, pain at the transplant site, and changes in urine output. Renal colic usually presents with intense pain in the lower back or side, related to kidney stones.

2. Which step of the management process is concerned with Policy making and Stating the goals and objective of the institution?

• A. Planning
• B. Organizing
• C. Directing
• D. Controlling

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. Does the reduction in oxidative damage that occurs with energy restriction in animals also occur in people whose diets include _____?

• A. fiber and carbohydrates
• B. fatty acids and protein
• C. probiotics
• D. antioxidants and phytochemicals

Correct answer: D

Rationale: The correct answer is 'antioxidants and phytochemicals'. Antioxidants and phytochemicals help reduce oxidative damage in the body, contributing to healthy aging and a lower risk of chronic diseases. This is the same effect observed in animals when their energy intake is restricted. The other choices are incorrect as there is no direct evidence connecting reduced oxidative damage with diets high in fiber and carbohydrates, fatty acids and protein, or probiotics.

4. For a client with a history of gout, which food should be included in their diet?

• A. Red meat
• B. Whole grains
• C. High-fat dairy
• D. Processed meats

Correct answer: B

Rationale: Whole grains are low in purines and are a better choice for someone with gout.

5. What food would most likely be included in Level 1 of the National Dysphagia Diet?

• A. peanut butter
• B. oatmeal
• C. fruit preserves
• D. plain yogurt

Correct answer: D

Rationale: The correct answer is D, plain yogurt. Level 1 of the National Dysphagia Diet includes pureed or smooth foods that are easy to swallow. Plain yogurt fits this criteria as it is smooth and can be easily consumed without posing a risk of choking. Choices A, B, and C are not typically included in Level 1 of the diet. Peanut butter, oatmeal, and fruit preserves are not usually suitable for individuals on Level 1 of the National Dysphagia Diet as they may present a choking hazard or are not in a pureed or smooth form.

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